Organization
BOULDERCENTRE FOR ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ANDERSON (CREDENTIALING COORDINATOR)
(303) 607-6363
Entity
Organization
Contact information
Practice address
4740 PEARL PKWY, SUITE 200, BOULDER, CO 80301-3078
(303) 449-2730
(303) 449-5821
Mailing address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
(303) 449-5821
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
Other
Enumeration date
05/05/2006
Last updated
02/26/2026
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